MEDICARE: DEBORAH ROMES LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	5478-C	AR
2	1041C0700X	Clinical Social Worker	7303-C	NV

General Provider Information

NPI Number	:	1740563881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH ROMES LCSW

Provider Business Mailing Address
First Line	:	631 N STEPHANIE ST # 200
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-2633
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6166 S SANDHILL RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3215
Country	:	US
Telephone Number	:	702-985-5330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2011
Last Update Date	:	03/17/2018

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Directions to “ DEBORAH ROMES LCSW” Practice Location

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